Opp Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

OPP PHARMACY, LLC

Practice address

405 N Main St
Opp, AL 36467-1606

Phone

(334) 493-1110

Fax

(334) 493-1095

NPI assigned

Oct 29, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joe A Dalton

Title

Owner

Phone

(334) 886-2442

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dalton Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1730656646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "SLOCOMB",
            "state": "AL",
            "postal_code": "363750279",
            "telephone_number": "334-493-1110",
            "fax_number": "334-493-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N MAIN ST",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364671606",
            "telephone_number": "334-493-1110",
            "fax_number": "334-493-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPP PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-886-2442"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225766",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dalton Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Odom, CRNP
• Opp City
• Opp Family Medicine, P.C.
• Opp Health and Rehabilitation, LLC
• Opp Imaging Services LLC
• Opportunity EMS Inc
• Sean M Owen, M.D
• Paratech Emergency Medical Services
• Bobby Jay Parrish, BS PHARMACY
• Amber Nicole Parsons

• All providers in Opp, AL
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.